SSM Health Endoscopy Center – Clinic/Center, NPI 1871536037
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SSM Health Endoscopy Center
Clover Leaf Hill Court, Grover, Wildwood, Saint Louis County, Missouri, 63040, United States
ST. LOUIS, MO 633766452
Phone: (636) 498-7400
Fax: (314) 344-7281
Type: Location
Corporate Square Drive, 39 North, Creve Coeur, Saint Louis County, Missouri, 63132, United States
SAINT LOUIS, MO 631322924
Phone: (314) 989-6843
Fax: (314) 344-7281
Type: Mailing
4203 S CLOVERLEAF DR
SAINT PETERS, MO 633766452
Phone: (636) 441-9990
Fax: (636) 441-9997
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (680 days ago).
Enrollment records
1
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040322000671 | O | Ambulatory Surgical Center | MO | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 463 | 461 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 326 | 323 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 259 | 252 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 130 | 130 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 97 | 97 | $0 |
Insurance plans in this area (ZIP 63376)
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